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General NPI Number Information
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NPI Number | 1013480870
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Entity Type | Individual
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Provider Name | GRAHAM GARWOOD PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2019
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Last Update Date | 01/04/2019
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Provider Practice Location Address
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Address Line | 1269 BEACON ST STE 3
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City | BROOKLINE
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State | MA
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Zip | 02446-5248
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Country | US
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Telephone | 617-834-4235
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Fax |
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Provider Business Mailing Address
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Address Line | 36 BRYON RD APT 6
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-3310
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Country | US
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Telephone | 231-350-0862
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 10944
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License Number State | MA
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